Geriatric Concerns

"Here we will address topics for patients above age 65, their relatives and caregivers in the dental office.  In all cases, ask your dentist for more information regarding your specific issue."

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What are some of the main concerns for patients above age 65?

  • The demographic of adults age 65 and older is growing and increased numbers of these patients are keeping their natural teeth compared to previous generations
  • Patients in this age category can often have baseline health complications by having multiple medical conditions such as hypertension, diabetes, arthritis etc. and physiologic changes associated with aging
  • Older adults may be prescribed several prescription and/or over-the-counter medications, making them vulnerable to drug interactions and adverse drug reactions
  • Common impairments associated with aging, such as physical or sensory, may make home care and communications challenging

What are some dental conditions associated with aging?

  • Dry mouth (xerostomia)
  • Cavities on root surfaces of teeth 
  • Gum disease (periodontitis)
  • Increased sensitivity to drugs used in dentistry (including local anesthetics and pain medication)

What is concerning about dry mouth (xerostomia)?

  • Xerostomia is common in older patients and is likely to occur in those taking multiple medications, diabetes, Alzheimer's or Parkinson's disease
  • Dry mouth can lead to more frequent cavities and mucositis (painful inflammation of the soft tissues)

What are some recommendations for individuals with dry mouth?

  • Drinking or sipping regular water throughout the day
  • Limit alcoholic beverages or drinks high in sugar and caffeine